Final answer:
The newborn's APGAR score is 9 at 1 minute after birth and 10 at 5 minutes. Based on the criteria assessed, such as skin color, heart rate, reflex, muscle tone, and respiration, the baby is healthy, with these scores indicating a normal and successful transition from the womb.
Step-by-step explanation:
APGAR Score Calculation
To calculate the APGAR score of the newborn infant at 1 and 5 minutes after birth, we need to evaluate the five criteria: appearance (skin color), pulse (heart rate), grimace (reflex), activity (muscle tone), and respiration (breathing effort). Based on the scenario provided:
- Appearance: The baby's skin color is noted to have slightly cyanotic extremities at 1 minute (1 point), which turns pink at 5 minutes (2 points).
- Pulse: Since the pulse rate is described as good, the infant would likely receive a score of 2 at both 1 minute and 5 minutes.
- Grimace (reflex): The baby cries on stimulation, which indicates a normal reflex response, scoring 2 points.
- Activity (muscle tone): The baby is moving all extremities and has flexed arms and legs that resist extension, indicating good muscle tone, scoring 2 points.
- Respiration: The infant has a strong, robust cry and was crying at birth, which would suggest a normal respiratory effort, scoring 2 points.
At 1 minute, the baby's APGAR score would be: 1 (Appearance) + 2 (Pulse) + 2 (Grimace) + 2 (Activity) + 2 (Respiration) = 9.
At 5 minutes, the baby's APGAR score would be: 2 (Appearance) + 2 (Pulse) + 2 (Grimace) + 2 (Activity) + 2 (Respiration) = 10.
A score of 9 at 1 minute and 10 at 5 minutes is considered normal, indicating that the baby is not in distress and has made a good transition from the womb to the outside world.